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New Jersey rates for HCPCS Q4176

NeoPatch or Therion, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.10 / $157.69 / $161.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.75 / $161.50 / $196.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $156.06 / $156.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.13 / $156.06 / $156.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.88 / $167.51 / $177.60